Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.70 / $3.86 / $4.03	Facility		$1.70	$3.86	$4.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.92 / $1.70 / $2.94	Professional		$0.92	$1.70	$2.94
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2.33 / $85.00 / $100.00	Facility		$2.33	$85.00	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2.33 / $12.56 / $15.90	Professional		$2.33	$12.56	$15.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Professional		$4.00	$4.00	$4.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2.46 / $4.34 / $5.30	Facility		$2.46	$4.34	$5.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $4.44 / $5.79	Professional		$2.54	$4.44	$5.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $4.05 / $30.00	Professional		$2.25	$4.05	$30.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3.30 / $3.65 / $4.01	Facility		$3.30	$3.65	$4.01
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $3.58 / $3.58 / $3.58	Professional		$3.58	$3.58	$3.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.27 / $2.27 / $2.33	Facility		$2.27	$2.27	$2.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.11 / $2.47 / $2.47	Professional		$2.11	$2.47	$2.47
United Facility/Professional Professional Modifier Low / Median / High Price $1.15 / $1.30 / $2.17	Professional		$1.15	$1.30	$2.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.71 / $2.71 / $2.71	Professional		$2.71	$2.71	$2.71